Individual provider Active NPI

Micaela Knebel, MA, CCC-SLP

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1629176722
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15537 Issued in CA
Practice address
5710 Cahalan Ave Ste 5B
San Jose, CA 95123-3010
Phone
(408) 579-9512
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15537 CA Primary

Addresses

Primary practice location

5710 Cahalan Ave Ste 5B
San Jose, CA 95123-3010

Mailing address

5710 Cahalan Ave Ste 5B
San Jose, CA 95123-3010
Phone (408) 579-9512

Other names 1

  • Kayla Knebel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
15537CAMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1629176722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 CAHALAN AVE STE 5B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233010",
            "telephone_number": "408-579-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 CAHALAN AVE STE 5B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233010",
            "telephone_number": "408-579-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEBEL",
        "first_name": "MICAELA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "KNEBEL",
            "credential": "MA, CCC- SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.